Patient-Doctor Communication · USMLE Step 1

A patient asks the physician to make a medical decision for them, saying, "I don’t want to choose." What should the physician do?

  1. You really must choose; the decision is your responsibility.
  2. Let's weigh the options together and decide based on your values.
  3. Fine, then I'll just choose whatever I happen to prefer.
  4. Let's put off making this decision for now, indefinitely.
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Correct answer: Let's weigh the options together and decide based on your values.

Supporting patient autonomy includes guiding decisions based on patient values while avoiding paternalism.

Difficulty: Medium Question 18 of 20

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